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A Computer-Assisted Training Approach for Performing and Charting Periodontal Examinations: A Retrospective Study.

Abstract The aim of this study was to retrospectively investigate the development of a model-based, computer-assisted training approach for performing and charting periodontal examinations in a dental clinic in Germany. The study was initiated in summer semester 2013 and repeated in two consecutive semesters (S1: 44 students, S2: 48 students, and S3: 61 students) because technical features were introduced (S2: feedback and time control; S3: input control). In each semester, new dental students who had never performed periodontal examinations participated. Students were divided into two groups and received intense training at different time points. Agreement levels were calculated at baseline, after the first group received training, and after the second group received training. Comparisons were also made among the semesters. All 153 enrolled students in the three semesters participated. The results showed that probing depth accuracy significantly decreased in S1 from baseline to training completion (79.9% to 74.5%), and the probing depth accuracy significantly increased in S2 (76.1% to 78.9%) and S3 (77.2% to 82.3%). The students who received intense training at a late stage of the tutorial showed greater improvement, especially in the case of S3. Small changes in accuracy were observed for recession (S1: 94.5% to 96.1%; S2: 93.8% to 93.9%; S3: 95.4% to 96.6%). Accuracy for furcation involvement improved significantly in S1 (46.1% to 52.0%), S2 (46.8% to 59.7%), and S3 (44.2% to 58.3%); the improvements occurred when the students received intense training. The time taken for periodontal examination decreased significantly for S2 (23.6 to 14.2 min) and S3 (25.7 to 13.9 min). This study found that when feedback was provided, the students' periodontal examinations improved in accuracy and duration.
PMID
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Authors

Mayor MeshTerms

Computer-Assisted Instruction

Keywords

clinical skills

computer-assisted instruction

dental education

educational measurement

educational technology

periodontal examination

periodontics

teaching methods

Journal Title journal of dental education
Publication Year Start




PMID- 29292329
OWN - NLM
STAT- MEDLINE
DCOM- 20180112
LR  - 20180112
IS  - 1930-7837 (Electronic)
IS  - 0022-0337 (Linking)
VI  - 82
IP  - 1
DP  - 2018 Jan
TI  - A Computer-Assisted Training Approach for Performing and Charting Periodontal
      Examinations: A Retrospective Study.
PG  - 76-83
LID - 10.21815/JDE.018.009 [doi]
AB  - The aim of this study was to retrospectively investigate the development of a
      model-based, computer-assisted training approach for performing and charting
      periodontal examinations in a dental clinic in Germany. The study was initiated
      in summer semester 2013 and repeated in two consecutive semesters (S1: 44
      students, S2: 48 students, and S3: 61 students) because technical features were
      introduced (S2: feedback and time control; S3: input control). In each semester, 
      new dental students who had never performed periodontal examinations
      participated. Students were divided into two groups and received intense training
      at different time points. Agreement levels were calculated at baseline, after the
      first group received training, and after the second group received training.
      Comparisons were also made among the semesters. All 153 enrolled students in the 
      three semesters participated. The results showed that probing depth accuracy
      significantly decreased in S1 from baseline to training completion (79.9% to
      74.5%), and the probing depth accuracy significantly increased in S2 (76.1% to
      78.9%) and S3 (77.2% to 82.3%). The students who received intense training at a
      late stage of the tutorial showed greater improvement, especially in the case of 
      S3. Small changes in accuracy were observed for recession (S1: 94.5% to 96.1%;
      S2: 93.8% to 93.9%; S3: 95.4% to 96.6%). Accuracy for furcation involvement
      improved significantly in S1 (46.1% to 52.0%), S2 (46.8% to 59.7%), and S3 (44.2%
      to 58.3%); the improvements occurred when the students received intense training.
      The time taken for periodontal examination decreased significantly for S2 (23.6
      to 14.2 min) and S3 (25.7 to 13.9 min). This study found that when feedback was
      provided, the students' periodontal examinations improved in accuracy and
      duration.
FAU - Heym, Richard
AU  - Heym R
AD  - Dr. Heym is Associate Professor in Periodontology, Department of Conservative
      Dentistry and Periodontology, Ludwig Maximilian University, Munich, Germany; Dr. 
      Krause is a dentist in private practice; Mr. Hennessen is a dental student,
      Ludwig Maximilian University, Munich, Germany; Dr. Pitchika is a dentist,
      Department of Conservative Dentistry and Periodontology, Ludwig Maximilian
      University, Munich, Germany; Dr. Ern is Associate Professor in Periodontology,
      Department of Conservative Dentistry and Periodontology, Ludwig Maximilian
      University, Munich, Germany; and Dr. Hickel is Head, Department of Conservative
      Dentistry and Periodontology, Ludwig Maximilian University, Munich, Germany.
      [email protected]
FAU - Krause, Sebastian
AU  - Krause S
AD  - Dr. Heym is Associate Professor in Periodontology, Department of Conservative
      Dentistry and Periodontology, Ludwig Maximilian University, Munich, Germany; Dr. 
      Krause is a dentist in private practice; Mr. Hennessen is a dental student,
      Ludwig Maximilian University, Munich, Germany; Dr. Pitchika is a dentist,
      Department of Conservative Dentistry and Periodontology, Ludwig Maximilian
      University, Munich, Germany; Dr. Ern is Associate Professor in Periodontology,
      Department of Conservative Dentistry and Periodontology, Ludwig Maximilian
      University, Munich, Germany; and Dr. Hickel is Head, Department of Conservative
      Dentistry and Periodontology, Ludwig Maximilian University, Munich, Germany.
FAU - Hennessen, Till
AU  - Hennessen T
AD  - Dr. Heym is Associate Professor in Periodontology, Department of Conservative
      Dentistry and Periodontology, Ludwig Maximilian University, Munich, Germany; Dr. 
      Krause is a dentist in private practice; Mr. Hennessen is a dental student,
      Ludwig Maximilian University, Munich, Germany; Dr. Pitchika is a dentist,
      Department of Conservative Dentistry and Periodontology, Ludwig Maximilian
      University, Munich, Germany; Dr. Ern is Associate Professor in Periodontology,
      Department of Conservative Dentistry and Periodontology, Ludwig Maximilian
      University, Munich, Germany; and Dr. Hickel is Head, Department of Conservative
      Dentistry and Periodontology, Ludwig Maximilian University, Munich, Germany.
FAU - Pitchika, Vinay
AU  - Pitchika V
AD  - Dr. Heym is Associate Professor in Periodontology, Department of Conservative
      Dentistry and Periodontology, Ludwig Maximilian University, Munich, Germany; Dr. 
      Krause is a dentist in private practice; Mr. Hennessen is a dental student,
      Ludwig Maximilian University, Munich, Germany; Dr. Pitchika is a dentist,
      Department of Conservative Dentistry and Periodontology, Ludwig Maximilian
      University, Munich, Germany; Dr. Ern is Associate Professor in Periodontology,
      Department of Conservative Dentistry and Periodontology, Ludwig Maximilian
      University, Munich, Germany; and Dr. Hickel is Head, Department of Conservative
      Dentistry and Periodontology, Ludwig Maximilian University, Munich, Germany.
FAU - Ern, Christina
AU  - Ern C
AD  - Dr. Heym is Associate Professor in Periodontology, Department of Conservative
      Dentistry and Periodontology, Ludwig Maximilian University, Munich, Germany; Dr. 
      Krause is a dentist in private practice; Mr. Hennessen is a dental student,
      Ludwig Maximilian University, Munich, Germany; Dr. Pitchika is a dentist,
      Department of Conservative Dentistry and Periodontology, Ludwig Maximilian
      University, Munich, Germany; Dr. Ern is Associate Professor in Periodontology,
      Department of Conservative Dentistry and Periodontology, Ludwig Maximilian
      University, Munich, Germany; and Dr. Hickel is Head, Department of Conservative
      Dentistry and Periodontology, Ludwig Maximilian University, Munich, Germany.
FAU - Hickel, Reinhard
AU  - Hickel R
AD  - Dr. Heym is Associate Professor in Periodontology, Department of Conservative
      Dentistry and Periodontology, Ludwig Maximilian University, Munich, Germany; Dr. 
      Krause is a dentist in private practice; Mr. Hennessen is a dental student,
      Ludwig Maximilian University, Munich, Germany; Dr. Pitchika is a dentist,
      Department of Conservative Dentistry and Periodontology, Ludwig Maximilian
      University, Munich, Germany; Dr. Ern is Associate Professor in Periodontology,
      Department of Conservative Dentistry and Periodontology, Ludwig Maximilian
      University, Munich, Germany; and Dr. Hickel is Head, Department of Conservative
      Dentistry and Periodontology, Ludwig Maximilian University, Munich, Germany.
LA  - eng
PT  - Journal Article
PL  - United States
TA  - J Dent Educ
JT  - Journal of dental education
JID - 8000150
SB  - D
SB  - IM
MH  - Clinical Competence
MH  - *Computer-Assisted Instruction
MH  - Dental Models
MH  - Diagnosis, Oral/*education
MH  - Education, Dental/*methods
MH  - Female
MH  - Germany
MH  - Humans
MH  - Male
MH  - Periodontal Diseases/*diagnosis
MH  - Retrospective Studies
OTO - NOTNLM
OT  - clinical skills
OT  - computer-assisted instruction
OT  - dental education
OT  - educational measurement
OT  - educational technology
OT  - periodontal examination
OT  - periodontics
OT  - teaching methods
EDAT- 2018/01/03 06:00
MHDA- 2018/01/13 06:00
CRDT- 2018/01/03 06:00
PHST- 2017/03/07 00:00 [received]
PHST- 2017/06/11 00:00 [accepted]
PHST- 2018/01/03 06:00 [entrez]
PHST- 2018/01/03 06:00 [pubmed]
PHST- 2018/01/13 06:00 [medline]
AID - 82/1/76 [pii]
AID - 10.21815/JDE.018.009 [doi]
PST - ppublish
SO  - J Dent Educ. 2018 Jan;82(1):76-83. doi: 10.21815/JDE.018.009.